A Skin Care Program to Prevent Skin Problems due to Diabetes Devices in Children and Adolescents: A Cluster-Controlled Intervention Study
Authors' conclusion
These data indicate our basic skin care program partially prevented diabetes device-induced skin reactions. However, more preventive strategies with other adhesives, patches, and/or types of lotions are needed for optimized prevention.
Study context
- Population
- Children and adolescents with T1D starting diabetes devices
- Participants
- 170 children
- Comparison
- Basic skin care program vs control
- Interventionn = 112
- Controln = 58reference
- Outcome
- Eczema or wounds
- Follow-up
- First year after device initiation
Methodological detailsunblinded, Participants seen quarterly in first year after device initiation, with clinical assessment and interview
- Unblinded
- Participants seen quarterly in first year after device initiation, with clinical assessment and interview
Main finding
As reported in the abstract
Absolute difference
12.9%
95% CI −28.7% to 2.9%
P = 0.10
By group
Further findings
| Outcome | Adjusted OR (95% CI) | P value | |
|---|---|---|---|
| Wound developmentAdjusted odds decreased by 71% | 0.29 (0.12–0.68) | P = 0.005 | |
| 0.10.31310Adjusted odds ratio (log scale) |
Safety
- Total infections
- 8
- No higher frequency in the intervention group despite advice to omit disinfection
Original publication
A Skin Care Program to Prevent Skin Problems due to Diabetes Devices in Children and Adolescents: A Cluster-Controlled Intervention Study. Diabetes Care. Published 21 July 2023. doi:10. 2337/ dc23-0462
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